<table class="content_table" border="0" cellpadding="0" cellspacing="0" width="100%" align="left" >
  <tr>
    <td bgcolor="#ececec" width="542" class="menu2_4">&nbsp;</td>
  </tr>
  <tr>
    <td height="570" style="padding:20px; " align="center" valign="top" ><table cellpadding="0" cellspacing="0" border="0">
        <tr>
          <td><img src="{$tmpd_url}images/image_65.gif" /></td>
          <td class="marg_n8"  align="center"> 
            
             DETALII CONTACT
             </td>
          <td><img src="{$tmpd_url}images/image_69.gif" /></td>
        </tr>
      </table>
      <br />
      <table border="0" cellpadding="0" cellspacing="0" bgcolor="#DFDFDF" width=600>
        <tr >
          <td colspan="2" height="40" class="textWelcome1" align=left><div align="justify" style="padding:10px;">Pentru a obtine mai multe informatii, completati formularul de mai jos cu datele dvs de contact si mesajul corespunzator. Aceste informatii ajung la reprezentantii TIMONA TRUST si veti fi contactati in cel mai scurt timp.</div> <br>
	  
	  <span class="centT2 ">BABA NOVAC, Nr 6, sector 3,<br />Fax: 031-8150-777<br />Tel: 021-324-9965, 0730-30-2000<br /></span>
	  </td>
        </tr>
        {if $trimis!=''} 
        <tr>
            <td style="color:#4289d5;font-size:13px; " colspan=2 align=center class="textWelcome1"> <b>  Mesaj trimis. In scurt timp va  com contacta.</b>
             </td>
        </tr>
         {/if} 
        <form method="post" action="contact.php#contact">
          <tr>
            <td height="60" colspan="2" align="center" valign="middle" class="marg_n10"></td>
          </tr>
          <tr>
            <td width="120" height="22" align="right" class="textTitleM" >Numele dvs.</td>
            <td height="22" width="320" align="left">
            <span >
            		<input type="text" name="Nume"  class="select3"  { if ($trimis!=1) } value="{$smarty.post.Nume}" {/if} />
            </td>
          </tr>
          <tr>
            <td width="120" height="22" align="right" class="textTitleM" >Telefon</td>
            <td height="22" width="320" align="left">       
            <span >
           		 <input name="Telefon" type="text" class="select3"  { if ($trimis!=1)} value="{$smarty.post.Telefon}" {/if}/>
            </span>          
          
          </tr>
          
          <tr>
            <td width="120" height="22" align="right" class="textTitleM" >Email</td>
            <td height="22" width="320" align="left">   
             <span >
           	  	<input name="Email" type="text" class="select3"  { if ($trimis!=1)} value="{$smarty.post.Email}" {/if}/>
             </span>           
</td>
          </tr>
          <tr>
            <td width="120" height="22" align="right" class="textTitleM" >Mesaj</td>
            <td height="22" width="320" align="left">
              <textarea cols="29" rows="5" name="mesaj" class="select3TextA">{ if ($trimis!=1)}{$smarty.post.mesaj}{/if}</textarea></td>
          </tr>
          <tr>
          <td width="120" height="22" align="right" class="textTitleM" >Completati codul de mai jos :</td>
          <td align="left" ><input name="number" type="text"  class="select3" ></td></tr> 
          <tr><td colspan=2 align="center"><img src="random_image_sample.php"></td></tr> 
          
          <tr>
            <td height="30" colspan="2" align="center" valign="bottom" class="text_rosu"><span style="color:#FF3300;">
            
            {if $eroare!=''}    {$eroare} <br>
            {/if}
            
            Toate campurile sunt obligatorii!</span>
              <input type="hidden" name="s" value="suprise"></td>
          </tr>
          
          <tr>
            <td height="40" colspan="2" align="center"  valign="middle" ><input type="submit" value="TRIMITE" name="trimite" class="ok mm" />
              &nbsp;&nbsp;
              <input type="reset" value="RESET" name="trimite" class="ok mm" /></td>
          </tr>
        </form><a name="contact" ></a>
      </table></td>
  </tr>
</table>
